MHSA-CYS FOSTER YOUTH FSP
NPI 1104012459
Clinic/Center - Mental Health (Including Community Mental Health Center) in Stockton, CA

Q: What is San Joaquin County Behavioral Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since September 20, 2007

620 N AURORA ST, STOCKTON, CA 95202(209) 468-8700(209) 468-2399 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2024, May 1, 2024, Jul 13, 2023 (3 updates tracked since 2023).

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About Mhsa-cys Foster Youth Fsp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MHSA-CYS FOSTER YOUTH FSP (NPI 1104012459) is a healthcare organization registered as a mental health (including community mental health center) in Stockton, California and active in the NPI registry since September 2007. The organization maintains 2 additional practice locations and lists Genevieve Valentine, Director, Behavioral Health Service, as its authorized official.

NPPES Registry Identity

NPI1104012459

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameSAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Location Address620 N AURORA STStockton, CA 95202-2343

Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-9815 · Fax (209) 468-2399

Phone(209) 468-8700

Fax(209) 468-2399

Organization SubpartNo

Authorized OfficialGenevieve ValentineDirector, Behavioral Health Service · (209) 468-8750

Enumeration DateSeptember 20, 2007

Last NPPES UpdateMay 10, 20243 updates tracked since enumeration

NPPES CertifiedMay 10, 2024

✔ NPI 1104012459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

620 N AURORA ST, Stockton, CA 95202

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Other Names 1

Doing Business AsMhsa-cys Foster Youth Fsp

Secondary Practice Locations 2

Location 1333 E Washington StStockton, CA 95202-3200 · Phone (209) 468-9815

Location 21414 N California StStockton, CA 95202-1515 · Phone (209) 468-8700

Other Identifiers 1

Medicaid9096CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICKI LYNN MOSQUEDA ELDRED

Counselor (Addiction (Substance Use Disorder))